Member Advocate/ Customer Service Pharmacy Technician - West

What We're About...TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care. Did we mention Amazing Care ? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy.Our team members enjoy:A wide range of health insurance options including medical, dental and visionA strong salary and bonus programA robust 401k and company matchTruescripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!A wellness program including financial incentives, chiropractic and massage services, and fitness stipendsA cohesive, family-based cultureCharitable contributions and volunteer timeOk, enough about us. Here's what we need from you: A future team members' values need to align with TrueScripts' core values of Integrity, Respect, Innovation, and Service. This match in value systems is critical for our team's chemistry and continued success. Our culture is positive, and our people possess a 'can do, proactive attitude. Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them when and where needed.Position Overview:The Member Care Advocate is responsible for performing all tasks relative to in-house and external communications with TrueScripts members, doctor's offices' and pharmacies. This position responds to member and client inquiries, assists members with appropriate prescription benefits, and problem solves any issues in our claims system. The role provides administrative support to Member Care Leadership, Client Success & Executive teams. This is a fully remote position working Monday - Friday 8 am to 5 pm Pacific time. To be considered for this role, applicants must reside in Pacific time zone.Primary Roles and Responsibilities:Account Inquiries & Claims ProcessingAssist TrueScripts' members with pharmacy claims processing and plan benefitsReceive phone calls/emails from members, clients, pharmacies and/or physician officesTroubleshoot claim processing problems and/or inquiries in claims adjudication systemRespond to website inquiriesBecome proficient in all aspects of claims adjudication systemCommunicate escalated member service concerns to managerAccount SupportQA testing for client transitions/changesComplete pharmacy contact sheet for fax notificationsClaims Logging, Invoicing & ReportingLog Specialty Care, Brand Care, Paper Claims, and Fee for Prior Authorizations on SharePointLog Specialty and Non-Specialty Prior Authorization approvals on SharePointPrepare and send weekly/monthly invoices to the Accounting teamDocument actions and outcomes in the client databaseRequirementsEducation:High School Diploma, 2-year college degree in related field preferredExperience/Knowledge:Pharmacy technician or equivalent helpful, not requiredTwo years of applicable experience preferredInnovative thinkingAbility to explain plans to members and partnered pharmaciesKnowledge of claims processing helpfulAnalytical thinking and attention to detailExcellent communication and customer relations skillsProblem solving skillsAbility to multi-task and prioritize in an ever-changing environmentStrong computer skills including Microsoft Office (Excel, Word, PowerPoint, Outlook) To be considered for this role, applicants must reside in Pacific time zone.Salary DescriptionWages starting at $25 hr / $52,000 yr